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The ACSM's annual Americanm Fitness Index report ranksonly D.C., and Minneapolis-St. Paul ahead of Denver. The produced in partnership with , "is a snapshogt of the state of health and fitnesin America's 50 most populous metropolitan areas," the ACSM said in a The index "reflects a composite of preventived health behaviors, levels of chronic disease health care access, as well as community resourced and policies that support physical The Denver-Aurora metro area score d 71.6 in the report. Denver ranked No. 2 among U.S. cities in "personal health indicators related tohealth behaviors, chronic health problems and health ACSM said. The area ranked No.
7 on "community/environmentak indicators related to thebuilt environment, recreational facilities, park-related expenditures, physical education requirements and primaryg health care providers." Washingtomn scored 74.4 on the index; Minneapolis-St. Paul scored 1. Washington, D.C. 74.4 2. Paul 72.1 3. Denver 71.6 4. Boston 71.4 5. San Franciscpo 71.3 6. Seattle 69.7 7. Portland 68.1 8. San Diegl 66.8 9. Austin 65.1 10. Virgini Beach, Va. 63.1 Among the largest U.S. cities, New York ranked No. 22, Chicagk No. 25 and Los Angeles No. 30. .
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